# MOSAIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568514487
- **Authorized official:** DEAN WILSON (VP ACCOUNTING)
- **Authorized official phone:** (402) 896-3884

## Contact information

- **Practice address:** 217 E 7TH ST, LOGAN, IA 51546-1348
- **Practice address phone:** (712) 644-2378
- **Practice address fax:** (712) 664-3501
- **Mailing address:** 4980 S 118TH ST, OMAHA, NE 68137-2220
- **Mailing address phone:** (402) 896-3884
- **Mailing address fax:** (402) 894-4780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 780204 | IA | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 08/22/2020